| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.61 | $160.59 | $601.34 | |
Cigna
| Professional | $82.84 | $135.15 | $198.72 | |
Providence
| Professional | $100.06 | $151.54 | $223.44 | |
United
| Professional | $165.75 | $188.50 | $219.78 |